National Provider Identifier [NPI]: |
1306892203 |
Last Name Of The Provider |
LEHMANN |
First Name Of The Provider |
SHAUN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
25216 GROGANS PARK DR |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
773802175 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
6231 |
Number Of Medicare Beneficiaries |
320 |
Total Submitted Charge Amount |
411154 |
Total Medicare Allowed Amount |
146032.56 |
Total Medicare Payment Amount |
111463.86 |
Total Medicare Standardized Payment Amount |
115473.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4757 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
86220 |
Total Drug Medicare AllowedAmount |
34567.65 |
Total Drug Medicare PaymentAmount |
27083.78 |
Total Drug Medicare Standardized Payment Amount |
27083.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1474 |
Number Of Medicare Beneficiaries With Medical Services |
320 |
Total Medical Submitted Charge Amount |
324934 |
Total Medical Medicare Allowed Amount |
111464.91 |
Total Medical Medicare Payment Amount |
84380.08 |
Total Medical Medicare Standardized Payment Amount |
88389.35 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
136 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
294 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
30 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
27 |
Average HCC Risk Score Of Beneficiaries |
1.7807 |